1.Member's First & Last Name

2.Member's Age

3.Member's Grade (2025-26 School Year)

4.Parent's Name

5.Parent's Phone Number

6.Check all programs that your child is interested in. We do provide all the instruments and equipment for these programs. Programs will be scheduled based on interest.

Guitar

Recording Studio

Bucket Drums

Piano/Keyboarding

Podcasting

7.By signing up for a pull-out program (such as Guitar, Recording Studio, Drums, etc.), members are expected to commit to the full duration of the program. These are not drop-in activities, members may try the class during the first week, but after that, they must either fully commit or withdraw.

Parents/guardians will be responsible for any damage to equipment or instruments during classes or that are checked out to members.

By signing below, I acknowledge that I have read and agree to the expectations outlined above. I understand the importance of commitment and responsibility when participating in these programs.

If you have any additional comments, questions, or specific needs, please write them in the space below.